Prevalence of anxiety and depression symptoms and their associated factors in mild COPD patients from community settings, Shanghai, China: a cross-sectional study

Tian Xiao; Hua Qiu; Yue Chen; Xianfeng Zhou; Kang Wu; Xiaonan Ruan; Na Wang; Chaowei Fu

doi:10.1186/s12888-018-1671-5

Prevalence of anxiety and depression symptoms and their associated factors in mild COPD patients from community settings, Shanghai, China: a cross-sectional study

BMC Psychiatry. 2018 Apr 4;18(1):89. doi: 10.1186/s12888-018-1671-5.

Authors

Tian Xiao¹, Hua Qiu², Yue Chen³, Xianfeng Zhou², Kang Wu², Xiaonan Ruan², Na Wang⁴, Chaowei Fu⁵

Affiliations

¹ Department of Epidemiology, School of Public Health; Key Laboratory of Public Health Safety; Pudong Institute of Prevention Medicine, Fudan University, Shanghai, 200032, China.
² Department of Chronic Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, 200136, China.
³ School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, K1G 5Z3, Canada.
⁴ Department of Epidemiology, School of Public Health; Key Laboratory of Public Health Safety; Pudong Institute of Prevention Medicine, Fudan University, Shanghai, 200032, China. na.wang@fudan.edu.cn.
⁵ Department of Epidemiology, School of Public Health; Key Laboratory of Public Health Safety; Pudong Institute of Prevention Medicine, Fudan University, Shanghai, 200032, China. fcw@fudan.edu.cn.

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a serious disease frequently accompanied by anxiety and depression. Few studies have focused on anxiety and depression for mild COPD patients in China. This study aimed to assess the prevalence and associated factors for anxiety and depression among patients with mild COPD in urban communities.

Methods: A cross-sectional survey of 275 mild COPD patients was conducted in 6 communities randomly sampled from Pudong New Area of Shanghai, China, in 2016. Data on socioeconomic factors and health conditions were acquired through a face-to-face interview as well as a physical examination. The Hospital Anxiety and Depression Scale (HAD) and EQ-5D visual analogue (EQ-5D_vas) were applied to evaluate their mental health and quality of life, respectively. Logistic regression model was used to estimate adjusted odds ratios (aORs) and their 95% confidential intervals (CI) for risk factors associated with anxiety or depression.

Results: Among 275 subjects, 8.1% had anxiety and 13.4% had depression. Logistic regression analysis indicated that female patients were more likely to suffer from anxiety than male patients (aOR = 6.41, 95% CI:1.73-23.80). Poor health status (EQ-5D_vas score < 70) was significantly associated with increased risks of anxiety (aOR = 5.99, 95% CI: 2.13-16.82) and depression (aOR = 2.67, 95% CI: 1.29-5.52).

Conclusions: There were increased risks of anxiety and depression in mild COPD patients living in urban communities. Female sex and poor health status were significantly correlated to anxiety or depression. More interventions should be developed to reduce the risks of anxiety and depression at the early stage of COPD.

Keywords: Anxiety; COPD; Depression; Mild; Quality of life.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Anxiety Disorders / epidemiology*
Anxiety Disorders / psychology
China / epidemiology
Cross-Sectional Studies
Depressive Disorder / epidemiology*
Depressive Disorder / psychology
Female
Health Status
Humans
Logistic Models
Male
Middle Aged
Prevalence
Pulmonary Disease, Chronic Obstructive / complications*
Pulmonary Disease, Chronic Obstructive / psychology*
Quality of Life
Sex Factors
Surveys and Questionnaires
Urban Population